Prior Auth Required

0071T - Ultrasound Ablation of Uterine Leioomyomata inc MR Guidance

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceUltrasound Ablation of Uterine Leioomyomata inc MR Guidance
Procedure / Service Description

Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single - analysis, common and select rare variants (ie, *2, *3, *4, *4N, *5, *6, *7, *8, *9, *10, *11, 0070U *12, *13, *14A, *14B, *15, *17, *29, *35, *36, *41, *57, *61, *63, *68, *83, *xN) 0071T Ultrasound Ablation of Uterine Leioomyomata inc MR Guidance CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene 0071U analysis, full gene sequence (List separately in addition to code for primary procedure)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.